Please help, just looking for some guidance or some advice from people who understand
I got diagnosed with VM or PPPD about a month ago (after dealing with the feelings for about a year) nd my doctor told me to read “Head Your Headache The 123 Program” which outlines the migraine diet. I’ve been following the migraine diet since then, however, I have not felt ANY relief and to be honest sometimes feel as if I have more headaches. To be fair I have cheated a bit with the diet but have done the best I can do considering I’m a college student and eat at a dining hall. I am now starting to cut out even more foods that I would sometimes indulge in and see how I feel for two weeks or so. I’m just not feeling really good right now. I’m dizzy, getting a lot of tension headaches that aren’t really relieved from Advil/Tylenol. I’m also at the point right now of all this where I feel as if I’m slipping into a depression. There’s a lot of positive things in my life, yet this condition causes me to feel sad A LOT and I cry almost every day. I no longer look forward to things as much as I used to because this dizzy and pressure feeling is ALWAYS on my mind and I just can’t get it out of my mind it’s becoming this thing that I feel like I’m just constantly rotating around. I’m also really really anxious and feel more neurotic than I used to feel. My doctor told me to try the diet and reduce triggers and then if I don’t feel better at the end of January then to go on medication. I understand this method, however I’m at a point right now where I feel like I need to go on some sort of med in conjunction with the diet. I’m just too frustrated and I just need something. I’m so worried though that he’ll say it hasn’t been long enough of trying the diet.
The other thing is that I’m not sure if I have PPPD or VM or both (I know they are both intertwined in a lot of ways), but my doctor says that I medicate them differently and that I should be the one to choose which route to take BUT I HAVE NO IDEA. I can either go on like ami for migraine or SSRI for VM. He said that SNRI like Effexor can treat both. Are there more drugs that overlap, because I simply can’t make the decision between the two its impossible. Sometimes I feel like I need headache relief other times I feel like I need anxiety relief and sometimes I feel like I need both. I’m just so extremely confused and frustrated right now that my mind feels like its going a million miles per minute.